Subungual hematoma is a collection of blood (hematoma) underneath a toenail or fingernail. It can be extremely painful relative to the size of the injury, although it is not a serious medical condition. Subungual hematoma can resolve on its own without treatment. If it is acutely painful, it may be drained.
○ Diagnosis and Treatment Observation is sufficient in most cases. When severe pain is present, a small hole can be made to release the blood. A nail with a hematoma is highly vulnerable to fungal infection.
A subungual hematoma is a collection of blood (hematoma) underneath a toenail or fingernail (black toenail). It can be extremely painful for an injury of its size, although otherwise it is not a serious medical condition.
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The authors present the case of a 64-year-old male who presented to the emergency department due to foot trauma. He sustained a large subungual hematoma, which was drained. Following the procedure, the patient achieved complete resolution of his pain.
○ Diagnosis and Treatment
Observation is sufficient in most cases. When severe pain is present, a small hole can be made to release the blood. A nail with a hematoma is highly vulnerable to fungal infection.